Read the following scenario and then answer the questions that followYou are on your hospital's Peer Review Committee (PRC). You are reviewing Nurse A's practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis B vaccine that had been expired for 30 days but still was being stored in the unit refrigerator. She gave the five immunizations within a few minutes of each other, and she got the vial from the refrigerator only once (i.e., She did not take it out and replace it five times). She took responsibility for the errors when she was informed by her unit manager.
Should Nurse A be reported to the BON?
Apply the Minor Incident Rule to reach and support your decision
A. Criteria. First, review your learning about minor incidents - those which are NOT reportable to the BON. In the first column of the table, list the 4 criteria that are essential in determining if an incident is not "minor."
Criteria that determine an incident is NOT minor
Explanation of whether or not the facts
determine that the incident is NOT minor
There is a significant risk of harm.
The facts of the case support this criteria. As per the case, there is no risk of significant harm to the patients immunized with the expired vial. A vaccination works to prevent the occurrence of the disease (Kuenstler, 2014). Therefore and expired vaccine would not have any risk of harm to the patient.
The nurse lacks a conscientious approach or accountability...
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